Provider Demographics
NPI:1972957876
Name:BERI, TANVI (MD)
Entity type:Individual
Prefix:DR
First Name:TANVI
Middle Name:
Last Name:BERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13168 CENTERPOINTE WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5287
Mailing Address - Country:US
Mailing Address - Phone:240-409-5882
Mailing Address - Fax:
Practice Address - Street 1:13168 CENTERPOINTE WAY STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5287
Practice Address - Country:US
Practice Address - Phone:240-409-5882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-17
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101272724208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice